Correct timing for RSV testing and updated recommendations for three FDA-approved vaccines can reduce adult hospitalizations for this insidious infection.
Associate Professor of Medicine, Division of Infectious Diseases, University of Rochester, Rochester, New YorkServe as a speaker or a member of a speakers bureau for: Moderna; GSK
Most people won't actually start testing for RSV in their offices or in their emergency departments until they start seeing flu activity within their community. If you do that, in fact, you might miss almost a third of the RSV season. Here in the Northeast, RSV usually starts circulating around early to mid-October — which again is about a month and a half before we'll start to see flu circulating in the Northeast.
The other thing that's important about RSV is that fomite transmission actually plays a very important role, much more so than in influenza and COVID — meaning that those secretions land on a desk, or someplace, or a bottle if you're feeding your child. And that's where it gets transmitted because it can live on those surfaces for much longer than COVID and flu transmitted to another person. The person then touches their nose and becomes subsequently infected and ill with RSV.
It's quite insidious for the first 5-7 days. The person may just have upper respiratory tract symptoms. It's usually around the 1-week mark, when the virus moves to the lower respiratory tract, that they'll present to your clinic or to the emergency department. By this time, they'll have things like wheezing. They'll have a productive cough.
Wheezing is another hallmark of RSV. So if your patient comes in and they're wheezing and they really haven't before, think about RSV. Or if they have an exacerbation of, again, think about RSV because these things tend to be more closely linked to RSV than to other respiratory viruses.
Adult Respiratory Syncytial Virus - RSV Infection Adult Respiratory Syncytial Virus - RSV Adult RSV Infection Adult Respiratory Syncytial Virus Infection Respiratory Syncytial Virus Infection RSV Infection Respiratory Syncytial Virus (RSV) Infection Children Child Childhood Pediatrics Kids Immunizations Vaccination Influenza Flu
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